MEDICARE: ALANI OHANA HOME CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	304700245	OTHER	CA	HOME CARE ORGINATION

General Provider Information

NPI Number	:	1942894019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALANI OHANA HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	321 5TH ST
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-5119
Country	:	US
Telephone Number	:	714-477-6590
Fax Number	:	714-441-9639

Provider Business Practice Location Address
First Line	:	321 5TH ST
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-5119
Country	:	US
Telephone Number	:	714-477-6590
Fax Number	:	714-441-9639

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DAVID BEIGEL
Credential	:	N/A
Telephone Number	:	714-477-6590

Provider Enumeration Date	:	03/01/2021
Last Update Date	:	03/01/2021

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